Centralised healthcare lacks ‘local accountability’
By David Hill, Local Democracy Reporter
Bringing some healthcare decisions back into communities will help plug the gap in local accountability, say two North Canterbury mayors.
Waimakariri mayor Dan Gordon and Hurunui mayor Marie said they were pleased Te Whatu Ora Health New Zealand was considering local solutions for healthcare, but wanted to know more details on the plans.
In a major shakeup of the health system in 2021, locally-elected district health boards were scrapped and replaced with the centralised Te Whatu Ora.
However, in an interview with RNZ in February, Health Minister Dr Shane Reti indicated some health decision-making would return to the regions.
Responding to questions from Local Democracy Reporter, Reti said he expected to receive advice from the Ministry of Health soon.
This included future operating and funding models for primary and community care.
‘‘Community involvement in health service planning, with local solutions to local health challenges will remain essential to the delivery of health services,’’ he said.
‘‘These local groups should be involved in the design and delivery of services, so the healthcare focuses on the needs of, and is effective for, the community.’’
Local primary health organisations (PHOs), such was the Waitaha Canterbury PHO, played a key role in supporting their local communities and were providing input into Health NZ’s primary care development programme, he said.
The Government has also signalled Iwi-Māori Partnership Boards will play a key role in supporting high-quality community-led health care.
Gordon said since the demise of the Canterbury District Health Board (CDHB) there were gaps in ‘‘local accountability’’.
He is the council’s representative and deputy chairperson of the Waitaha Canterbury PHO board.
‘‘I have found since the centralsation of healthcare it has been a struggle to find local accountability. Even a local contact or authority to speak to.
This must be addressed.
Having a local voice close to the issues is vital.’’
The lack of a local board chairperson meant concerns would often be raised directly with the health minister, Gordon said.
‘‘The important thing for me is the patient and ensuring they are cared for and their needs are met, and if we have an issue, where do we go to get answers?’’
Black said retaining a local voice in healthcare was crucial, particularly for rural districts.
‘‘The important thing is we retain what we have and if we can increase health provision, that is where I would be lending my support.’’
She said the Hurunui District Health Services Group had been making good progress working with the former CDHB.
But this work had been on the backburner since the board was dissolved, ‘‘so whether there is the energy to reconsider this, I don’t know’’.
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
Teacher shortage eases in Canterbury schools
By David Hill, Local Democracy Reporter
After a difficult few years, North Canterbury school principals say they have plenty of quality teachers to choose from.
A global teacher shortage in recent years has seen local schools competing against Auckland principals for staff at university recruiting events.
But education advocate Simon Green said heading into term four, local primary schools were well placed ‘‘to fill their vacant positions from a good pool of quality applicants’’.
Green is the Rangiora High School board of trustees presiding member, and is a leadership adviser with Evaluation Associates, working with principals and school boards in Otago and Canterbury.
While there is a slight overall drop in primary school rolls in North Canterbury, he said more specialist structured literacy teachers were required.
Additional classroom release time for teachers meant relief teachers were also needed.
‘‘The secondary school job market remains challenging for our high school principals,’’ he said.
Rangiora High School has 22 vacancies for next year, mainly due to short term teaching positions, promotions and new opportunities opening up.
But principal Bruce Kearney said the positions are filling up fast.
The school roll is expected to close in on 1800 students next year, but Kearney said growth could begin to slow down, in the short term at least.
‘‘Our role can fluctuate depending on the rolls of our contributing schools and there is a sense we are seeing the end of a bubble.’’
Longer term that could change with new sub-divisions planned in the Waimakariri district.
‘‘We don’t want to grow much more,’’ Kearney said.
‘‘But I don’t think it would make economic sense for the Government to build a new secondary school on a new site when both Rangiora and Kaiapoi have land for more growth.
‘‘Communities may need to accept that big schools are more economical. Auckland has been managing schools of up to 3000 students for years.’’
Kearney said it was possible the Ministry of Education could build another primary school across the road from Rangiora High School, next to the school farm, in 10 years time.
Last year Kaiapoi High School had 22 vacancies to fill, but principal Jason Reid said he has just one vacancy advertised on the Education Gazette, for now.
For the first time in a decade Kaiapoi will have a slight dip in its year 9 roll for next year.
‘‘I don’t think it is indicative of anything other than a population blip,’’ Reid said.
With several contributing schools, including Woodend School and Te Kura o Tuahiwi, bursting at the seams, growth at Kaiapoi High School is set to continue for sometime yet.
For now, Reid is expecting the roll to remain at 1080 next year, just under the site capacity of 1100.
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
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New Amberley community board confirmed
By David Hill, Local Democracy Reporter
A new community board has been confirmed by Hurunui’s south ward.
The Local Government Commission has rejected an appeal against the establishment of a community board for next year’s local government election in the Hurunui District Council’s south ward, which includes Amberley.
Eleven objections were received, but just one, Amberley District Residents’ Association chairperson Roy Myers, gave an oral presentation to commissioners at a hearing last month.
Several objectors preferred the existing ward committee structure, which comprised representatives from residents’ associations, the Amberley Reserves Advisory Group, the Hurunui Youth Council and three independent members.
But the commissioners agreed with the council’s position that a community board elected by the community at large would be more democratic.
‘‘It may potentially attract candidates who may not have been traditionally in a position that would result in their becoming members of the ward committee,’’ the commissioners said.
South ward councillor Vanessa McPherson said she is ‘‘delighted with the outcome’’.
‘‘The decision reinforces the robust process undertaken by the council to deliver an outcome that will provide a fair and effective representation of benefit to the entire south ward.’’
But Myers said he is disappointed with the decision, which he believes is based on ‘‘wrong information’’.
‘‘The argument was that a community board would be able to be more strategic in its decision making.
‘‘But the existing ward committee doesn’t have any money to spend.’’
Hurunui mayor Marie Black told the commission a walking and cycling fund of $370,000 has been established from development contributions since 2010, but the ward committee has been unable to agree on how to spend it.
But Myers rejected this and said the ward committee was unaware ‘‘we were able to spend it’’.
‘‘How are these five representatives going to be in contact with the community?
‘‘Under the present structure, you have residents’ groups which represent their communities.’’
While the new community board will have five board members, the commissioners reduced the number of elected councillors on the board from four to two.
The commissioners’ also recommended a Hurunui Youth Council representative be appointed as an observer.
Remuneration of board members would cost $36,078 a year, or $20 per south ward ratepayer per year.
■ LDR is local body journalism co-funded by RNZ and NZ On Air.
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